Partial calcanectomy and Ilizarov external fixation may reduce amputation need in severe diabetic calcaneal ulcers.
Conclusions: This surgical protocol is effective in ameliorating diabetic hindfoot ulcers with concomitant calcaneal osteomyelitis, and satisfactorily reduces the need for amputation.
PMID: 28326157 [PubMed - in process] (Source: Diabetic Foot and Ankle)
Source: Diabetic Foot and Ankle - March 24, 2017 Category: Endocrinology Tags: Diabet Foot Ankle Source Type: research
Diabetic limb salvage procedure with bone allograft and free flap transfer: a case report.
Authors: Godoy-Santos AL, Amodio DT, Pires A, Lima AL, Wei TH, de Cesar-Netto C, Armstrong DG
Abstract
The aim of this case report was to describe a successful diabetic limb salvage procedure in the treatment of an infected diabetic foot ulcer through a multidisciplinary team approach and complex surgical reconstruction involving a femoral head bone allograft and musculocutaneous latissimus dorsi free flap. The decision to proceed with aggressive staged efforts at diabetic limb salvage should be made only after careful consultation with the patient, his or her family, and the rest of the multidisciplinary ...
Source: Diabetic Foot and Ankle - March 24, 2017 Category: Endocrinology Tags: Diabet Foot Ankle Source Type: research
Effects of weight-bearing exercise on a mini-trampoline on foot mobility, plantar pressure and sensation of diabetic neuropathic feet; a preliminary study.
Conclusions: This is a preliminary study to document the improvements in foot mobility, plantar pressure and sensation following weight-bearing exercise on a flexible surface in people with diabetic neuropathic feet. Mini-trampoline exercise may be used as an adjunct to other interventions to reduce risk of foot ulceration. A larger sample size is needed to verify these findings. This trial is registered with COA No. 097.2/55.
PMID: 28326159 [PubMed - in process] (Source: Diabetic Foot and Ankle)
Source: Diabetic Foot and Ankle - March 24, 2017 Category: Endocrinology Tags: Diabet Foot Ankle Source Type: research
Clinical effectiveness of hemoglobin spray (Granulox( ®)) as adjunctive therapy in the treatment of chronic diabetic foot ulcers.
CONCLUSION: Standard wound care plus hemoglobin spray results in improvements in wound closure, wound size reduction, pain, slough, and exudate levels compared to control patients for chronic diabetic foot ulcer treatment.
PMID: 27829487 [PubMed - in process] (Source: Diabetic Foot and Ankle)
Source: Diabetic Foot and Ankle - November 12, 2016 Category: Endocrinology Tags: Diabet Foot Ankle Source Type: research
Conventional deep pressure algometry is not suitable for clinical assessment of nociception in painless diabetic neuropathy.
CONCLUSIONS: Algometer II readings represent spatial summation of low-threshold pressure-receptor rather than of high-threshold nociceptor stimulation and are, thus, unhelpful for assessing PLDN. Reproducibility of the measurements is good.
PMID: 27702429 [PubMed - in process] (Source: Diabetic Foot and Ankle)
Source: Diabetic Foot and Ankle - October 6, 2016 Category: Endocrinology Tags: Diabet Foot Ankle Source Type: research
Consensus on surgical aspects of managing osteomyelitis in the diabetic foot.
CONCLUSIONS: Consensus statement on the perioperative management of DFO were formed with an expert panel comprised of a variety of surgical specialties. We believe these statements may serve as 'best practice' guidelines until properly performed studies provide more robust evidence to support or refute specific surgical management steps in DFO.
PMID: 27414481 [PubMed] (Source: Diabetic Foot and Ankle)
Source: Diabetic Foot and Ankle - July 16, 2016 Category: Endocrinology Tags: Diabet Foot Ankle Source Type: research
Does obtaining an initial magnetic resonance imaging decrease the reamputation rates in the diabetic foot?
This study was designed to determine whether there was an association between the reamputation rate in diabetic patients and utilization of MRI in the presurgical planning and prior to initial forefoot amputations.
METHODS: Following approval by our institutional review board, our study design consisted of a retrospective cohort analysis of 413 patients at Staten Island University Hospital, a 700-bed tertiary referral center between 2008 and 2013 who underwent an initial great toe (hallux) amputation. Of the 413 patients with a hallux amputation, there were 368 eligible patients who had a history of DM with documen...
Source: Diabetic Foot and Ankle - June 20, 2016 Category: Endocrinology Tags: Diabet Foot Ankle Source Type: research
Stepwise surgical approach to diabetic partial foot amputations with autogenous split thickness skin grafting.
Authors: Ramanujam CL, Zgonis T
Abstract
In the surgical treatment of severe diabetic foot infections, substantial soft tissue loss often accompanies partial foot amputations. These sizeable soft tissue defects require extensive care with the goal of expedited closure to inhibit further infection and to provide resilient surfaces capable of withstanding long-term ambulation. Definitive wound closure management in the diabetic population is dependent on multiple factors and can have a major impact on the risk of future diabetic foot complications. In this article, the authors provide an overview of autogeno...
Source: Diabetic Foot and Ankle - June 11, 2016 Category: Endocrinology Tags: Diabet Foot Ankle Source Type: research
Risk factors for occurrence and recurrence of diabetic foot ulcers among Iraqi diabetic patients.
Authors: Mohammed SI, Mikhael EM, Ahmed FT, Al-Tukmagi HF, Jasim AL
Abstract
There are a few studies that discuss the medical causes for diabetic foot (DF) ulcerations in Iraq, one of them in Wasit province. The aim of our study was to analyze the medical, therapeutic, and patient risk factors for developing DF ulcerations among diabetic patients in Baghdad, Iraq.
PMID: 26983600 [PubMed] (Source: Diabetic Foot and Ankle)
Source: Diabetic Foot and Ankle - March 18, 2016 Category: Endocrinology Tags: Diabet Foot Ankle Source Type: research
Type 2 diabetes-related foot care knowledge and foot self-care practice interventions in the United States: a systematic review of the literature.
CONCLUSION: Preventing these complications, understanding the risk factors, and having the ability to manage complications outside of the clinical encounter is an important part of a diabetes foot self-care management program. Interventions and research studies that aim to reduce lower extremity complications are still lacking. Further research is needed to test foot care interventions across multiple populations and geographic locations.
PMID: 26899439 [PubMed] (Source: Diabetic Foot and Ankle)
Source: Diabetic Foot and Ankle - February 25, 2016 Category: Endocrinology Tags: Diabet Foot Ankle Source Type: research
Inaugural editorial.
Authors: Zgonis T
PMID: 22396804 [PubMed] (Source: Diabetic Foot and Ankle)
Source: Diabetic Foot and Ankle - December 20, 2015 Category: Endocrinology Tags: Diabet Foot Ankle Source Type: research
Ten years of a multidisciplinary diabetic foot team approach in Sao Paulo, Brazil.
Authors: Batista F, Augusto Magalhães A, Gamba M, Nery C, Cardoso C
Abstract
Diabetes mellitus can cause devastating foot problems including loss of protective sensation with subsequent ulcerations and amputations. The natural history and pathophysiology of diabetic foot ulcers is best understood and managed by a multiprofessional team approach. The main factors for prevention and treatment of these devastating diabetic foot conditions are shown, with special attention to education of the patient. This approach decreases the morbidity of the disease, besides its economical and social feasibility.
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Source: Diabetic Foot and Ankle - December 20, 2015 Category: Endocrinology Tags: Diabet Foot Ankle Source Type: research
Diabetic foot infections: a team-oriented review of medical and surgical management.
Authors: Capobianco CM, Stapleton JJ
Abstract
As the domestic and international incidence of diabetes and metabolic syndrome continues to rise, health care providers need to continue improving management of the long-term complications of the disease. Emergency department visits and hospital admissions for diabetic foot infections are increasingly commonplace, and a like-minded multidisciplinary team approach is needed to optimize patient care. Early recognition of severe infections, medical stabilization, appropriate antibiotic selection, early surgical intervention, and strategic plans for delayed reconst...
Source: Diabetic Foot and Ankle - December 20, 2015 Category: Endocrinology Tags: Diabet Foot Ankle Source Type: research
Reverse flow digital artery pedicle flap for closure of diabetic forefoot ulceration.
Authors: Ramanujam CL, Zgonis T
Abstract
Digital artery pedicle flap is a useful surgical technique for coverage of plantar foot defects. For diabetic forefoot ulcers that are subject to recurrence despite consistent care, this flap can provide long-term durable closure. The authors provide a case report and overview of this innovative reconstructive procedure.
PMID: 22396807 [PubMed] (Source: Diabetic Foot and Ankle)
Source: Diabetic Foot and Ankle - December 20, 2015 Category: Endocrinology Tags: Diabet Foot Ankle Source Type: research
Clinical significance of the isolation of Staphylococcus epidermidis from bone biopsy in diabetic foot osteomyelitis.
CONCLUSION: Staphylococcus epidermidis should be considered as a real pathogen, not only a contaminant, in diabetic patients with foot osteomyelitis when the bacterium is isolated from the bone. No differences in the outcomes of surgical treatment have been found with cases which Staphlylococcus aureus was isolated.
PMID: 22396808 [PubMed] (Source: Diabetic Foot and Ankle)
Source: Diabetic Foot and Ankle - December 20, 2015 Category: Endocrinology Tags: Diabet Foot Ankle Source Type: research
